Recommending an Evidence-Based Practice Change.

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Recommending an Evidence-Based Practice Change.

 

Learning Resources
Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Recommending an Evidence-Based Practice Change.

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Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
• Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Note: You will access this article from the Walden Library databases.
Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201.Recommending an Evidence-Based Practice Change. doi:10.1097/CCM.0000000000001396
Note: You will access this article from the Walden Library databases.
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184.Recommending an Evidence-Based Practice Change. doi:10.1097/NND.0000000000000483
Note: You will access this article from the Walden Library databases.
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x
Note: You will access this article from the Walden Library databases.Recommending an Evidence-Based Practice Change.

The Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/

Assignment: Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.Recommending an Evidence-Based Practice Change.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.Recommending an Evidence-Based Practice Change.
The Assignment: (Evidence-Based Project)
Part 5: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.Recommending an Evidence-Based Practice Change.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.Recommending an Evidence-Based Practice Change.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
o A summary of the critical appraisal of the peer-reviewed articles you previously submitted
o An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
By Day 7 of Week 9
Submit Part 5 of your Evidence-Based Project.

  • Introduction
  • What is EBP?
  • Need for clinical inquiry
  • Role of PICOT model (Melnyk & Fineout-Overholt, 2019)
  • Using EBP to reduce MI rates
  • Description of Healthcare Organization
  • Third-level teaching hospital
  • A change culture
  • Evidence-Based Practice (EBP) Change in Reducing Myocardial Infarction (MI) Rates
  • [Name] [Date]
  • Always ready for change
  • Low staff turnover
  • Current Problem or Opportunity for Change
  • Subsequent MIs in cardiology unit
  • A notable rise
  • Increasing readmissions
  • Stakeholders and risks of change
  • Evidence-Based Idea for Change
  • Need for a change in prevention strategy
  • Nurse-led bundled approach (Snaterse et al., 2016; Kirchberger et al., 2015).
  • Atorvastatin prophylaxis (Lee et al., 2019; Han et al., 2018).Recommending an Evidence-Based Practice Change.
  • The Plan for Knowledge Transfer
  • PICO inquiry
  • Recommendations
  • Dissemination (Brownson et al., 2018; Arcury et al., 2017; Williams & Cullen, 2016)
  • Adoption & implementation
  • The Expected Measurable Outcomes
  • A reduction in subsequent MIs by 50% in six months
  • A drop in the BMI among AMI patients by any margin in 3 months
  • Successful cessation of smoking by any majority of subsequent MI patients within 3 months
  • Appraisal Summary & Lessons Learnt
  • Statins effective in lowering incidence of MI
  • Nurse-led bundled approach effective too
  • EBP points to use of statins + nurse-led bundle
  • Lesson: Effective prevention = multifaceted
  • Conclusion
  • PICOT for clinical inquiry
  • EBP (best practice)
  • Effective dissemination
  • The case of MI
  • References

Arcury, T.A., Wiggins, M.F., Brooke, C., Jensen, A., Summers, P., Mora, D.C., & Quandt, S.A. (2017). Using “policy briefs” to present scientific results of CBPR: Farmworkers in North Carolina. Progress in Community Health Partnerships, 11(2), 137147.Recommending an Evidence-Based Practice Change. http://dx.doi.org/10.1353/cpr.2017.0018

Brownson, R.C., Eyler, A.A., Harris, J.K., Moore, J.B., & Tabak, R.G. (2018). Getting the word out: New approaches for disseminating public health science. Journal of Public Health Management and Practice, 24(2), 102–111. https://doi.org/10.1097/PHH.0000000000000673

Han, X., Zhang, Y., Yin, L., Zhang, L., Wang, Y., Zhang, H., Li, B. (2018). Statin in the treatment of patients with myocardial infarction: A meta-analysis. Medicine, 97(12), 1-4. https://doi.org/10.1097/MD.0000000000010167

Kirchberger, I., Hunger, M., Stollenwerk, B., Seidl, H., Burkhardt, K., Kuch, B., Meisinger, C., & Holle, R. (2015). Effects of a 3-year nurse-based case management in aged patients with acute myocardial infarction on rehospitalisation, mortality, risk factors, physical functioning and mental health. A secondary analysis of the randomized controlled KORINNA study. PLoS ONE 10(3), 1-17. http://dx.doi.org/10.1371/journal.pone.0116693

  • References (cont’)

Lee, M.M.Y., Sattar, N., McMurray, J.J.V., & Packard, C.J. (2019). Statins in the prevention and treatment of heart failure: A review of the evidence. Current Atherosclerosis Reports, 21(41), 1-8. https://doi.org/10.1007/s11883-019-0800-z

Melnyk, B.M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice, 4th ed. Wolters Kluwer.

Snaterse, M., Dobber, J., Jepma, P., Peters, R.J.P., Ter Riet, G., Boekholdt, S.M., Buurman, B.M., Op Reimer, W.J.M.S. (2016). Effective components of nurse-coordinated care to prevent recurrent coronary events: A systematic review and meta-analysis. Heart, 102(1), 50-56. https://doi.org/10.1136/heartjnl-2015-308050

Williams, J.L., & Cullen, L. (2016). Evidence into practice: Disseminating an evidence-based practice project as a poster. Journal of PeriAnesthesia Nursing, 31(5), 440–444. https://doi.org/10.1016/j.jopan.2016.07.002

  • Recommending an Evidence-Based Practice Change.